Province Health Management Information System

Mohamed AfrahAzlif RaufAhmed Niyaz

South Province

Objectives

• Explain Purpose of the SPHIMS Policy

• Identify the goals of SPHIMS Policy

• Describe the scope of the SPHIMS Policy

• Define the Vision and Mission

• Describe the Key Components of SPHIMS

Objectives

• Identify Focal areas of the framework

• Describe the Institutional Setup

• Describe the Components of Provincial Health Office

• Describe the Roles of HMI Unit

• Explain the information flow in integrated web based system

Objectives

• Identify the Types of information Gathered in SPHMIS

• Explain the Advantages of HMIS

• Explain Data Collection Tools

• Identify the Levels of data collection and functions

Objectives

• Explain Training and capacity building

• Explain Monitoring framework

• Explain Data analysis and information products

• Explain Dissemination and use

• Describe Evaluation /Annual performance review

Purpose of the SPHIMS Policy

• To establish a proper mechanism for collection of all the relevant data to improve the healthcare planning and management throughout the South province

• To create well-functioning integrated web connected information system in the South Province.

• To provide better health information and knowledge to better decision making for improvement of health system in South Province.

Goals

• Integrate Healthcare Record Systems in the Province

• Improve Governance, Planning Administration and Management

of Health systems

• Improve the efficiency of health service delivery , both personal

care and public health services

• Develop a population health care base

• Achieve comprehensive privacy and confidentiality

requirements of the citizens

• Enable national monitoring and evaluation of health trends

Scope

The frame work will provide all the activities related to health information system in South Province.

It includes: Private and Public Health facilities City Councils / Atoll Councils Private and Government Schools Non-governmental organizations.

VISION OF THE SPHMIS

“To perceive continuous improvement of the

health of the people of South Province through

effective use of information”.

MISSION OF THE SPHMIS

“To collect, collate and analyze a combination of health data

from various sources including health service delivery data

from all health facilities and communities using routine, event-

based, or survey data collection methods in line with national

norms and standards and international best practice, and

convert these into good quality and comprehensive information

for measuring and enhancing service delivery and health

impact for the population of South Province”.

Key Components of SPHIMS• Health Information Coordination & Leadership

• Indicators

• Data Management

• Data Security

• Data Analysis & Information Product

• Data Dissemination & Use

• Health information System Resources

Focal areas of the framework

• Integrated web-based system

• Fax mail (Contingency)

• Public Health Unit

• Health Centers

• Regional Hospitals

Institutional Setup

PHO Policy Making Committee

HIMS Policy Making Committee

Island committee / Atoll Committee

• RH In charge• PHO In charge• City council President• Person Representing NGOs• Expert From National level

• PHO In charge• Expert From National Level• PHU In charge• HIMS Unit In charge

• PHU In charge• Island Council Member• HC In charge

Components of PHO• Public Health Unit

• Health Information Management Unit

• Administrative Unit

• Finance & Procurement Unit

• Maintenance Unit

• IT Unit

• Training & Research Unit

Roles of HMI Unit• Prepping, indexing and imaging all paper medical records

• Analyzing the health record for completeness and accuracy

• Quality Review of all imaged documents

• Development & administration of healthcare data collection and reporting systems that ensure the quality, integrity, availability, and preservation of data in support of patient safety, privacy, confidentiality and security

Information Flow By Integrated Web based System

Types of information Gathered in SPHMIS

• Administration and Finance

• Surveillance

Types of information Gathered in SPHMIS

• Administration and Finance– Human Resource Management Information– Financial Resource Management Information– Facilities Management Information– Equipment Management Information– Transport Management Information– Pharmaceutical & other Consumables Management

Information– National Health Care Management Information

System

Types of information Gathered in SPHMIS

• Surveillance– Socio-demographic Surveillance

Information– Environmental Surveillance Information– Disease Surveillance Information– Health Systems Surveillance Information– Nutritional Surveillance Information

Advantages of HMIS

• Identify health sector’s needs

• Make the required information available

• Ensure the reliability of available information

• Ensure the accessibility of available information to all users

• Enhance the use of information in policy and programs planning as well as routine monitoring and annual reviews

Advantages of HMIS

• Convert data to information to knowledge

• Properly manage the information

• Regulate collection and dissemination of health information

• Maximum data security and Integrity

Data Collection Tools• Vital Registration

• Census

• Surveys

• Integrated sentinel sites

• Research

• Integrated Disease Surveillance (IDS)

• Hospital Records

Levels of data collection and functions

Administrative Level Function Island Case finding: service delivery Atoll Monitoring and supervision

Province Programme planning; Evaluation National Policy formulation

Training and capacity building

• Three prolonged approach to capacity development/ strengthening in SPHMIS

– In service training– On the job training and supervision– Pre service training

Monitoring framework

• Results will be measured on all six dimensions of performance namely access, equity, quality, effectiveness, efficiency and sustainability.

• Quarterly reviews of health program data shall be conducted, and appropriate remedial interventions developed, where required.

• This will guarantee us improvements in the monitoring and evaluation of health sector performance and improved health outcomes.

Data analysis and information products

• Provincial HODs shall be required to conduct an analysis of the data reported by their Provinces for each reporting period.

• This practice shall be cascaded down the health system with Province managers, sub-province managers and health facility managers carrying out similar analyses for each reporting period.

• The National MoH shall implement the SPHMIS web pivot reporting system.

Data analysis and information products

• The provincial department shall at minimum implement the SPHMIS web pivot reporting system for offline use.

• All information products generated by internal and external users must be shared with the MoH in electronic format.

Dissemination and use

• Data shall be used at the point of collection, prior to being sent up to the next level of the health system.

• Data from the SPHMIS shall be used in the development of all legislated plans of the health sector namely: – Province Health Plans; – Provincial Strategic Plans; – Provincial Annual Performance Plans– National Strategic Plans and – National Annual Performance Plans.

Dissemination and use

• Data from the SPHMIS shall also be used in monitoring and reporting on performance against these plans.

Transforming data into information and evidence

Evaluation /Annual performance review

• HoD shall ensure that the Province convenes a quarterly performance review session

• Public Health Unit In charge shall ensure that the Department convenes a quarterly performance review session

• The performance of Province is reviewed, and remedial interventions are implemented to improve service delivery where the data shows inadequate performance.

Bibliography

Department of Health. (2011). District Health Management Information System (DHMIS) Policy. South Africa.

Ministry of Public Health. (2006, June). National Health Management Information System - Procedure Manual. Afghanistan.

World Health Organization. (2004). Developing health management information systems: a practical guide fordeveloping countries. , Philippines.

Bibliography

World Health Organization. (2004). Developing Health Management Information Systems: A Practical Guide for developing Countries, World Health Organization, Regional Office for the Western Pacific.

Thank You!!